4 HODGES CT - BPA-2008-205 ROOF What is the current use of the Building?
Material of Building? If dwelling.how many units?
win the Building Conform to Law? Asbestos?
Archited's Name
Address and Phone
Mechanic's Name
Address and Phone / 3
Construction Supervisors License# HIC Registration#
Estimated of aj
Permit FeeCol
Permit Fee Cftlation
$ Estimated Cost X$7/51000 Residential
— - - Estimated Cost $11/51000 Commerclai---------An Additional$5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the above stated
specifications. Signed under penalty of perjury /- Z
Date L X 2L
96
a
4 C�
3
39b - - --
EPrrOP- -
PUBLIC PROPERTY
DEPARTMENT
►iw*.ftM DRISCA" a
11.0W QUN=W hSrkWr• • - M&%ACNLSkrrs01970
141978-7ii95"•FAS 97e-700�9e*
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING
STRUCTURE OR BIRMIN .
1.0 SITE INFORMATION
Location Name: C Building:
---------- -
Property Is located In a:Conservation Area Y/N Historic Distrid Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: r/e/C- 7U/LQ � - L vG! J
Address: V CT
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EXISXINra BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use Now
Demolition Existing
Approximate year of Area per floor (st) Renovated
construction or renovation
of existing building New
Scief Description of Proposed Work: J j� vL �-��
Mail Permit to: __